Excellent analogy. Hasn't been my experience, but I still like it.
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Another doctor suicide
Started by Mass Effect
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We aren't intimidated by them. But at the VA, the general rule is that the lower the education and useful to the hospital, the more power and harder to fire the employee is.
At the VA a nurse can never be fired
How do you figure that? I've had several nurses reprimanded at the VA. I think the mentality is wrong - as the physician you won't lose ultimately.
And we are not talking about attending physicians but residents...resident who get evaluated by these nurses...enough complaints and it can jeopardize your spot...
Admin, heck even the attendings many time will side with nursing...because the resident is only there for a few years...they wanna keep those nurses ...
Reprimanded....not fired... doesn’t happen.
Sometimes physicians are their own worst enemies. Why would we allow nurses to evaluate residents? Most nurses are awful - poorly educated, lazy, don't even know their patients by name. A few might be in the exception category and be better. Yes we have that too where nurses eval residents. But that's outright ridiculous. Who came up with that? It's like asking the secretaries to eval residents. And why are residents not evaluating nurses? At our program, when nursing evals had a lot of BS on them, they would get thrown out if they did not have objective info on them, especially if they were in counter to other evals.
Hope you never work in NYC, you will not like your life.
This is only an issue at the resident level, as far as I know. NYC residents remember the line "They can always hurt you more".
The whole "360 degree evaluations" are becoming a thing everywhere nowadays, though at least in terms of resident education I have a hard time getting worked up about them. No PD who knows his job is going to care much about a single complaint from a rando nurse, certainly not enough to "lose your spot" as @rokshana said. However, if you're the type to be collecting repeated bad evaluations from nursing, even in settings like your typical urban VA, something's up and probably requires some examination. As a resident, you should probably worry more about passive-aggressive retaliation than some complaint to your PD.
That's not to say there aren't problems. One of our inpatient attendings got written up by one of our senior nurses last month and it was a "you've got to be f-cking kidding me" type of thing where he had to deal with the fallout to supervisors when he was clearly in the right.
How is that even a thing?
i did say "enough" complaints...one bad eval, from anyone, is not going to jeopardize your job, but if a good number of evals are bad, even from nurses alone is going to raise a red flag and put you under the microscope...and that, as numerous threads here form dismissed residents, can be a problem that leads to termination.
and if you're getting that many bad evals, you SHOULD be put under the microscope.
Your damn right!
Not really unless every suicide no matter the occupation gets one too.
I know this is a late reply to this specific post, but honestly I think EMR's make it less likely that people will see your information with the chart. It's easy to get notified if people are accessing your chart.
Wrong, doctors' lives are more important than other people's lives.
What about Black Doctors' Lives?
"Those doctors only got in because of AA"
[posts to pre-allo]
"All Providers lives matter"
[posts to allo]
"Hey look, a story about a resident who got fired for being black"
[posts to residents]
...[Winged Scapula bans my account forever]...
Well, that's generally how it goes. Banned users are only very rarely welcomed back. When you get the boot, it's permanently in da butt.
Interesting. CT has minimal union presence aside from UCONN.
If I'm going out, I'm going out in a blaze of glory.
Plus Philadelphia, unlike NYC, was known to have really high quality nursing in their hospitals.
Depends on the hospital in philly...the ones in the hospital I worked in varied... but many were just about doing what their union allowed them to do...no more no less.
